OAR 410-172-0690
Admission Procedure for Residential Treatment Services for Children

(1) Admission procedures for children eligible for Medicaid shall be reviewed through an independent psychiatric review process established by the Division to certify the need for services.
(2) The referring source shall make available the following information about the referred child for the Certificate of Need (CONS) process:
(a) A written psychological or psychiatric evaluation completed by a treating Licensed Medical Professional (LMP) within the previous 60 days;
(b) A written psychosocial history;
(c) Documented results of any direct recipient observation and assessment after the referral;
(d) Other information from the referral source, other involved community agencies, and the family that are pertinent and appropriate;
(e) Identified care coordinator;
(f) Identified child and family team members;
(g) Service Coordination Plan or expected date of completion;
(h) If applicable, documentation regarding lower level of care outcomes;
(i) Letter from Community Mental Health Program (CMHP) approving the referral to this level of care.
(3) For emergency admissions, the CONS shall be made by the team responsible for a plan of care as described in CFR 441.156 (Annual review of nurse staffing plan) within 14 days from the date of admission.

Source: Rule 410-172-0690 — Admission Procedure for Residential Treatment Services for Children, .

410‑172‑0600
Acronyms and Definitions 410‑172‑0610
Provider Enrollment 410‑172‑0620
Documentation Standards 410‑172‑0630
Medically Appropriate 410‑172‑0640
Behavioral Health Services Fee Schedule 410‑172‑0650
Prior Authorization 410‑172‑0660
Rehabilitative Behavioral Health Services 410‑172‑0670
Substance Use Disorder Treatment Services 410‑172‑0680
Residential Treatment Services for Children 410‑172‑0690
Admission Procedure for Residential Treatment Services for Children 410‑172‑0695
Intensive In-Home Behavioral Health Treatment Services for Youth (IIHBT) 410‑172‑0705
Residential Rate Standardization 410‑172‑0710
Residential Personal Care 410‑172‑0720
Prior Authorization and Re-Authorization for Residential Treatment 410‑172‑0730
Payment Limitations for Behavioral Health Services 410‑172‑0745
Exception Criteria for Facial Gender Confirmation Surgery (FGCS) 410‑172‑0760
Applied Behavior Analysis 410‑172‑0770
Individual Eligibility for Applied Behavioral Analysis Treatment 410‑172‑0780
Behavioral Health Personal Care Attendant Program 410‑172‑0790
Eligibility for Behavioral Health Personal Care Attendant Services 410‑172‑0800
Personal Care Attendant Employer-Employee Relationship 410‑172‑0810
Personal Care Attendant Qualifications 410‑172‑0820
Provider Termination 410‑172‑0830
Personal Care Attendant Service Assessment, Authorization, and Monitoring 410‑172‑0840
Personal Care Attendant Payment Limitations 410‑172‑0850
Telemedicine for Behavioral Health 410‑172‑0860
Billing for Dual Eligible Individuals
Last Updated

Jun. 8, 2021

Rule 410-172-0690’s source at